Toll Free: 1-866-4JIGSAW • Phone: 1-603-448-1441 • Fax: 1-603-448-5536

* Indicates required items. (Press Tab key to move quickly through the form.)

Customer Name & Mailing Address
Name *:		Email *:

Address1 *:		Address2:

City *:	State/Province *:	Postal Code *:	Country:
			USA
Daytime Phone *:			Evening Phone *:


Item that You Want to Order
Puzzle or Special Item Ordered *:		Desired Delivery Date (please call if it is less than four weeks away; additional shipping charges may apply):


Personalization Information
To be sure that we can include all your personalization, please get confirmation by phone or email before paying! We will try our best to include everything requested, but may have to omit some items. As a rule of thumb, about one tenth of puzzle pieces can be figure pieces. Words usually are bigger than the average figure piece.

Cutting Style:		Note: Tricky Puzzles cannot be personalized unless otherwise noted, and must be cut in Knobby style.


Personalization (to be cut as figure pieces into the puzzle). Please indicate order of importance with a number in parentheses after each item. Please use ONE series of numbers for both boxes! A word and a shape cannot both be (1) or we won’t know which is more important to you!

Words (names, dates, etc.):		Shapes (people, animals, objects):


Gift Information
Gift wrap:	Message on card:		Name on envelope:
Yes No

Shipping information
For shipping to Alaska, Hawaii, or for any shipping other than domestic ground shipping, please call or email us.
Name *:		Phone (used only in case of a delivery problem):

Street Address1 *:		Street Address2:

City *:	State/Province *:	Postal Code *:	Country:
			USA

Special Instructions


Where to Go from Here
To complete your order click the buttons below (in 1, 2, 3 order). These enable you to print the form, email it, and then either pay online or pay by mail. If you want to clear the form and start over, click the Clear the Form button below.

	NOTE: Emailing the form is optional if paying by mail.
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